TCM Syndrome Differentiation and Treatment Method for Kidney Cancer

Based on clinical manifestations, such as hematuria, low back pain, and accumulation of symptoms, renal cancer can be divided into spleen and kidney deficiency type, kidney yin deficiency type, and damp-heat accumulation in the kidney type. The syndrome differentiation and treatment methods are as follows:

1. Spleen and kidney deficiency type

Symptoms: low back pain and abdominal distension, hematuria or lumps in the waist and abdomen, poor appetite, nausea, vomiting, weight loss, weakness and anemia, pale tongue, thin white tongue coating, deep, thready and weak or feeble pulse.

Treatment method: Strengthen the spleen and kidney, soften and disperse lumps.

Prescription: Siwu Decoction combined with Youguiyin with modifications. 10g each of Atractylodes macrocephala, Codonopsis pilosula, Astragalus membranaceus, Eucommia ulmoides, Psoralea corylifolia, 12g each of Angelica sinensis, Tangerine peel, Palm charcoal, Red peony root, 30g each of Verbena officinalis, Hedyotis diffusa, Dianthus superbus, Herba Coix seeds, 15g of Polygonatum sibiricum, and 15g of Cornus officinalis.

2. Kidney Yin Deficiency

Symptoms: short, dark urine with blood, hot flashes and night sweats, dry mouth and throat, sore waist and knees, back pain and abdominal lumps, red tongue, and thready pulse.

Treatment method: Nourish yin, clear heat and cool blood.

Prescription: Zhibai Dihuang Decoction with added ingredients. 10g each of Anemarrhena, Chinese Yam, Cortex Moutan, Rhizoma Alismatis, Herba Ecliptae, 30g each of Radix Rehmanniae, Cirsium, Cirsium, and Radix Platycladus orientalis, 5g each of Phellodendron, Fructus Corni, 15g each of Xueyutan and Lotus Root.

3. Damp-heat accumulation in the kidney

Symptoms: low back pain, distension and discomfort, hematuria, low fever, heaviness and fatigue, poor appetite, lumps in the waist and abdomen, greasy white tongue coating with yellowish color, fat tongue, and slippery and rapid pulse.

Treatment method: clear away heat and dampness, detoxify and remove blood stasis.

Prescription: Bazheng powder with modifications. Akebia, Rhubarb, Gardenia, Atractylodes macrocephala 10g each, Talc, Polygonum multiflorum, Verbena, Hedyotis diffusa, Dianthus superbus, Herba Coix, Raw Coix seeds 30g each, Plantago, Paeonia lactiflora 15g each, Juncus effusus 5g. For those with excessive heat, add Phellodendron and Gentiana 10g each.